Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis differential causes hyperkalemia management workup calcium hematology hypocalcemia hyponatremia hypophosphatemia hypotonic injury kdigo kidney leukostasis lysis phosphorus physiologic potassium
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
• Tumor lysis syndrome ... glycosides • High ... acute iatrogenic ... Elimination: • AKI ... blockers - MCW Nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Pre-Renal: • Hypovolemia ... Abdominal Compartment Syndrome ... Differential #Diagnosis #nephrology ... #causes #algorithm
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup ... Differential Diagnosis Algorithm ... Hyperphosphatemia, Acute ... metastases, Hungry bone syndrome ... #nephrology #calcium
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... , Acute Respiratory ... Inappropriately High ... Hyperparathyroidism, TKI ... #nephrology #phosphorus
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... diuresis can be high ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... table #sodium #nephrology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... fever - ACS, AKI ... , acute limb ischemia ... Spontaneous if high ... hydration - Hyperkalemia
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment ... algorithm for management ... of acute hyperkalemia ... #treatment #potassium ... #high #nephrology
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